GABRIELLE RENEE ELLISON NPI 1043786916

NPI Information

NPI: 1043786916
Provider Name: GABRIELLE RENEE ELLISON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
448 E 75TH ST
CHICAGO, IL
ZIP 60619
Phone: (773) 540-1179
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Gabrielle Renee Ellison is a mental health counselor in Chicago, IL. Gabrielle Renee Ellison NPI is 1043786916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

448 E 75TH ST
CHICAGO, IL
ZIP 60619-229
Phone: (773) 540-1179

The enumeration date for this NPI number is 10/18/2018 and was last updated on 10/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	OTHER		COMMUNITY MENTAL/BEHAVIOR HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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